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The documentation your insurer typically wants includes a recorded BMI meeting the threshold (30 or above, or 27 with comorbidities), proof of at least one qualifying comorbidity, evidence of previous weight loss attempts (usually 3-6 months of documented lifestyle intervention), current lab work showing relevant metabolic markers, and a letter of medical necessity from your prescribing physician

If someone eats too little because they feel sick or overly full, they may lose muscle or miss important nutrients

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Perioperative management of long-acting glucagon-like peptide-1 (GLP-1) receptor agonists: concerns for delayed gastric emptying and pulmonary aspiration

My doctor said she had heard of very few people reporting this, but that it wasnt completely uncommon, Taylor-Williams said
These drugs mimic the GLP-1 hormone, which helps regulate blood sugar levels, enhance insulin secretion, slow gastric emptying, and reduce appetite